Bursitis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
==History and symptoms== | ==History and symptoms== | ||
Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary. | Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary. | ||
| Line 13: | Line 12: | ||
*History of trauma | *History of trauma | ||
====Shoulder bursitis==== | ====Shoulder bursitis==== | ||
History of injury, impingement | *History of shoulder injury, tendinitis, or [[shoulder impingement syndrome]] | ||
History of muscle overuse | *History of muscle overuse or repetitive activity such as painting, throwing a ball, or playing tennis | ||
====Knee bursitis==== | ====Knee bursitis==== | ||
*History of sudden knee injury | *History of sudden knee injury | ||
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*History of inflammatory diseases | *History of inflammatory diseases | ||
*Hip [[prosthesis]] | *Hip [[prosthesis]] | ||
===Symptoms=== | |||
The symptoms of bursitis differ based on the anatomic location. Localized tenderness or pain with movement and decreased range of motion (ROM) are symptoms common to all forms of bursitis. | |||
Localized [[erythema]] or [[edema]] are variable and seen in superficial bursitis. | |||
In septic bursitis, the joint pain can also be associated with [[fever]]. | |||
====Elbow=== | |||
*Painful or painless focal swelling at the posterior elbow (goose egg over the olecranon process) | |||
===Shoulder=== | |||
*Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest. | |||
*Pain that is worse after repetitive activity such as painting, throwing a ball, or playing tennis | |||
===Hip=== | |||
*Pain in the lateral side of the hip with walking, running or sair-climbing | |||
*Lower extremities weakness | |||
*Pain with active and passive motion | |||
===knee=== | |||
*Reudeced range of motion at the knee | |||
*Focal swelling | |||
*Pain with movement | |||
====Ankle==== | |||
*Swelling at the back of heel | |||
*Pain at the back of the heel, especially when running uphill | |||
*Pain while standing on tiptoes | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 21:14, 17 August 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
History and symptoms
Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary.
History
Specific areas of focus when obtaining a history from the patient include:
- History of repetitive movement
- History of inflammatory disease (such as rheumatoid arthritis, systemic lupus erythematosus)
- History of trauma
Shoulder bursitis
- History of shoulder injury, tendinitis, or shoulder impingement syndrome
- History of muscle overuse or repetitive activity such as painting, throwing a ball, or playing tennis
Knee bursitis
- History of sudden knee injury
- Hidtory of microtrauma
- History of staphylococcal Infection
- History of arthritis
- History of gout
Elbow bursitis
- History of direct trauma to the posterior elbow
- History microtrauma, such as rubbing constantly the elbow against a table during writing
- History of certain occupations, such as plumbers and technicians
- History of systematic inflammatory process, such as rheumatoid arthritis
- History of crystal deposition disease, like gout and pseudogout
Ankle bursitis
- History of tight-fitting shoes
- History of gout, rheumatoid arthritis, and seronegative spondyloarthropathies
- History of Haglund disease
Hip bursitis
- History of trauma such as injury of the greater trochanter
- History of muscle overuse around the bursa or the joint underneath the bursa
- History of hip osteoarthritis
- History of inflammatory diseases
- Hip prosthesis
Symptoms
The symptoms of bursitis differ based on the anatomic location. Localized tenderness or pain with movement and decreased range of motion (ROM) are symptoms common to all forms of bursitis. Localized erythema or edema are variable and seen in superficial bursitis. In septic bursitis, the joint pain can also be associated with fever.
=Elbow
- Painful or painless focal swelling at the posterior elbow (goose egg over the olecranon process)
Shoulder
- Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest.
- Pain that is worse after repetitive activity such as painting, throwing a ball, or playing tennis
Hip
- Pain in the lateral side of the hip with walking, running or sair-climbing
- Lower extremities weakness
- Pain with active and passive motion
knee
- Reudeced range of motion at the knee
- Focal swelling
- Pain with movement
Ankle
- Swelling at the back of heel
- Pain at the back of the heel, especially when running uphill
- Pain while standing on tiptoes